This Notice Describes How Medical Information About You May Be Used And Disclosed And How You Can Get Access To This Information. Please Review It Carefully.

In the course of receiving services from AHF Healthcare Centers and/or Positive Healthcare Partners, we will be provided with health information about you. We have a duty under the law to maintain the privacy of this information, and to inform you of our legal obligations. This notice may change from time to time, and we will inform you of any changes. We will abide by this Notice or the most recent Notice. AHF will use this information, and/or disclose it to other people, for the following purposes:

• To Provide Medical Treatment To You. We will use this information to provide the very best medical treatment we can. We will consult with doctors, nurses, and other medical professionals when necessary to assure that the right services are being provided to you.
• To Assist Others In Providing Medical Services To You. We will disclose this information to other medical professionals who are treating you or helping in your treatment, such as laboratory testers, pharmacists, specialists, etc.
• To Obtain And Secure Payment For Our Services. We will disclose this information to people, such as insurance companies, Medi-Cal, Medicare, etc., in order to receive compensation for the services we provide. We may also disclose this information to billing services or other groups that facilitate payment.
• To Assess And Improve Our Services. We will use health information in order to evaluate the services we provide, the way we provide them, and the people who provide them. This is done in order to constantly improve the services we provide.
• Disclosures Required By Law. Under certain circumstances, state and federal laws require that all holders of health information, not just us, disclose health information to government authorities including courts and public health agencies that monitor health. We will, of course, disclose only that information that is required by law to be disclosed.
• Disclosures Benefiting Research. We are engaged in ongoing research into the causes and cures of various medical conditions, and to this end, we operate a Research Department. In order to assist this goal, we may disclose health information to the members of the research department. This information will, of course remain confidential within the Research Department.
• Information About Health Services. We may contact you to remind you about appointments, and to inform you about services, such as pharmacy or other health services that we believe may be beneficial to your health and well being.

YOUR RIGHTS REGARDING THE INFORMATION ABOVE:

• WE WILL USE OR DISCLOSE ONLY THE MINIMUM NECESSARY HEALTH INFORMATION IN ORDER TO MEET THE PURPOSES AND REQUIREMENTS ON THE PREVIOUS PAGE.
• You may request that restrictions be placed on the above uses of medical information, or you may revoke this authorization. However, we do not have to agree to the restriction if we feel that such uses are necessary in order to provide you with the best possible services.
• You may request that health information be disclosed to you in certain ways, such as a specific mailing address. We will try our best to reasonably accommodate these requests.
• You may request to be provided with access to and copies of certain of the health information about you that we maintain.
• If you believe that health information is inaccurate or incomplete, you may request that the medical information be amended.
• You may ask for a record of the disclosures made by us of your health information.
• You may ask for a copy of this Notice.

If you have any questions or complaints about this Notice or about your health information, please call our Privacy Department at 323-860-5200. You may also contact the Secretary of the United States Department of Health and Human Services. You will not be retaliated against in any way for asking questions or making a complaint.